Provider Demographics
NPI:1992459143
Name:HAMILTON, CIANNA VILLARREAL (ACSW)
Entity type:Individual
Prefix:
First Name:CIANNA
Middle Name:VILLARREAL
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 H ST STE 270
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95814-1289
Mailing Address - Country:US
Mailing Address - Phone:916-874-6411
Mailing Address - Fax:916-874-8223
Practice Address - Street 1:700 H ST STE 270
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95814-1289
Practice Address - Country:US
Practice Address - Phone:916-874-6411
Practice Address - Fax:916-874-8223
Is Sole Proprietor?:No
Enumeration Date:2022-02-07
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1201371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical